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BLD2022-0745_Application_6.7.2022_2.09.33_PM_2917690CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1155101 - Elders Applicant First Name Last Name Company Name Pilchuck Heating LLC PILCHUCK HEATING LLC Number Street Apartment or Suite Number E-mail Address 1429 Ave D 224 pilchuckheating@pilchuckheating.com City State Zip Phone Number Extension Snohomish WA 98290 (425) 585-0659 Contractor Company Name PILCHUCK HEATING LLC Number Street Apartment or Suite Number 1429 Avenue D 224 City State Zip Phone Number Extension SNOHOMISH WA 98290 (425) 585-0659 State License Number License Expiration Date UBI # E-mail Address PILCHHL823LN 6/15/2024 F;n4gri7(»ft pilchuckheating@pilchuckheating.com Project Location Number Street Floor Number Suite or Room Number 20725 82ND AVE W City Zip Code County Parcel Number EDMONDS 98026 00614300003903 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Susan M Elder Number Street Apartment or Suite Number 20725 82ND AVE W City State Zip EDMONDS WA 98026 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 6/7/2022 Submitted By: Pilchuck Heating LLC Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Mechanical Application #1155101 - Elders Project Contact Company Name: PLC ILCHUCK HEATING Name: Pilchuck Heating LLC Email: pilchuckheating@pilchuckheating.com Address: 1429 Ave D 224 Phone #: (425) 585-0659 Snohomish WA 98290 Project Type Single Family Residential Activity Type Scope of Work Alteration Mechanical Project Name: Elders Description of Work: Install furnace and heat pump Project Details HVAC Systems Furnace Heat Pump Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 1 Garage and side of garage Page 2 of 2